Stodden Physical Therapy,Llc

LBN: Stodden Physical Therapy,Llc
Stodden Physical Therapy,Llc is an health care organization with primary practice located at 11532 Willow Park Dr Su 100, Gretna NE 68028-6947. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Stodden Physical Therapy,Llc can be contacted via phone (402) 289-5013, or through Stodden, Mike via phone (402) 289-5013.

Contact Information

Primary practice address
11532 Willow Park Dr Su 100 Gretna NE 68028-6947
Fax: (402) 289-5018
Website:
Authorized official contact:
Name: Stodden, Mike Physical Therapist (PT)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1604 Nebraska

Profile Details

NPI number 1013031285
LBN Legal business name Stodden Physical Therapy,Llc
DBA Doing business as
Authorized official Stodden, Mike Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Mar 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013031285 NPPES
Nebraska MEDICAID 10025488800
Nebraska Other 39960
Nebraska Other 216813

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